Organization
OPTIMAL FUNCTION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY PARKAN DPT (OWNER/THERAPIST)
(949) 705-7695
Entity
Organization
Contact information
Practice address
22891 PLAINVIEW CIR, LAKE FOREST, CA 92630-2973
(949) 705-7695
(949) 215-4281
Mailing address
22891 PLAINVIEW CIR, LAKE FOREST, CA 92630-2973
(949) 705-7695
(949) 215-4281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT29958
PT LICENSE
CA
Enumeration date
12/19/2022
Last updated
12/19/2022
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